A New Era of Auditing  

Navigate healthcare’s complexities with ease and protect your revenue, boost compliance, and streamline audits with precision.

 

Say Hello to Audit Manager+

Revolutionize your audit management process with Audit Manager+, our new, innovative web-based solution that brings together audit workflow, management, and reporting in one streamlined platform. Developed with auditors in mind, Audit Manager+ offers advanced customization options, real-time insights, and the unique ability to audit a provider and a coder at the same time. 

Our newly enhanced Audit Box delivers faster performance, fewer clicks, and auto-save as you audit, all designed to maximize your efficiency and elevate your auditing capabilities. 

Benefits

Revenue (3)

Protect Revenue

Prevent costly claim reprocessing and denials by ensuring your claims are accurate before submission with prospective claim reviews. Leverage analytics to identify and remediate coding problems and risks.

Boost Agility with Custom Checklists

Boost Agility

Drive efficiency with customizable editing, scoring, and checklists you use to audit any facility or specialty. Custom reports can be tailored to various audiences within your organization, dramatically reducing the burden of internal reporting.

Audit Smarter with Real-Time Insights

Audit Smarter

Audit technical and professional components of claims in one system, as well as every data element on a UB, CDT or HCFA claim. Audit Guidelines allow data customization for individual projects, allowing auditors to focus on core audit goals.

Software Features

Streamline the way you manage audits by merging audit workflow, management, education and reporting into one easy-to-use, web-based solution. Designed by auditors, for auditors.

checklist-1
Enhanced Checklists
audti
Synchronous Auditing Capabilities
audit
Customizable Scoring Rules
g1353
Line-Level Reporting
qa oversight
QA Oversight
workflow
Advanced Workflow Management
claim alerts
Real-Time Editing and Claim Alerts
code blocks
Comprehensive Code Sets
checklist amplus

Enhanced Checklists

AM+ features predefined checklists for commonly audited data elements and procedure codes. You can also auto-assign checklists by data element, code, and claim type to streamline your processes and enhance your checklist capabilities. 

 

syncg auditing

Synchronous Auditing Capabilities

Auditing has never been easier with software that lets you audit anyone at the click of a button. Audit a coder and a provider at once, in one place. You can audit system configuration, and other processes or components of healthcare too. 

edit metric detail

Customizable Scoring Rules

Ensure total consistency across every audit and custom guideline with comprehensive and customizable rule sets, checklists, and suggested codes. 

premium reporting

Line-Level Reporting

Capture and report on every data element of a claim and view reported results right next to that data element. Our state-of-the-art business intelligence tools provide comprehensive reporting and data analysis to reduce risk and preserve revenue. 

qa oversight?

QA Oversight

Customize QA criteria and streamline audits with skill-based tracking and targeted error identification. The platform’s automated quality assurance features and workflows ensure quality across your auditing efforts. 

Customizable Templates

Advanced Workflow Management

At-a-glance dashboard identifies outstanding work and due dates for each audit and project, keeping your audits on track and your workflow right on target. 

‘real time editing and audit claims

Real-Time Editing and Claim Alerts

Improve your auditors’ accuracy instantly with real-time feedback with integrated nationally standard code edits, including NCCI for both professional and outpatient claims. 

Risk Adjustment

Comprehensive Code Sets

Audit every code type with the only solution that handles every code set, including CPT®, HCPCS, CDT, ICD-10-CM, ICD-10-PCS, Revenue, Condition Codes, Occurrence, Value, Type of Bill, Discharge Status, HCC, and more. 

Software Features

Streamline the way you manage audits by merging audit workflow, management, education and reporting into one easy-to-use, web-based solution. Designed by auditors, for auditors.

checklist-2
Enhanced Checklists
audti
Synchronous Auditing Capabilities
custom edit and scoring
Customizable Editing and Scoring
reporting
Line-Level Reporting
qa oversight
QA Oversight
workflow
Advanced Workflow Management
claim alerts
Real-Time Editing and Claim Alerts
code blocks
Comprehensive Code Sets
checklist amplus

Enhanced Checklists

Predefined checklists for commonly audited data elements and procedure codes.

Schedule a Demo
syncg audting

Synchronous Auditing Capabilities

Audit a coder and a provider at once, in one place, along with system configurations, and other processes of healthcare too.

Schedule a Demo
edit metric detail

Customizable Editing and Scoring

Flexible editing and scoring to reflect specific organizational requirements for improved accuracy and compliance.

Schedule a Demo
premium reporting

Line-Level Reporting

Capture and report on every data element of a claim with side-by-side results. Division, department, and organization reporting is available by data element or types of audits.

Schedule a Demo
qa oversight?

QA Oversight

Customize QA criteria and streamline audits with skill-based tracking and targeted error identification.

Schedule a Demo
checklist amplus

Advanced Workflow Management

At-a-glance dashboard identifies outstanding work and due dates for each audit and project.

Contact Us
real time edit

Real-Time Editing and Claim Alerts

Improve your auditors’ accuracy instantly with real-time feedback with integrated nationally standard code edits, including NCCI for both professional and outpatient claims.

Schedule a Demo

Comprehensive Code Sets

Audit every code type with the only solution that handles every code set, including CPT®, HCPCS, CDT, ICD-10-CM, ICD-10-PCS, Revenue, Condition Codes, Occurrence, Value, Type of Bill, Discharge Status, HCC, and more.

Schedule a Demo

Customizable options to meet your needs

Enterprise

Starting at
$8,000/year*
 

Audit facility, professional and dental claims on one platform

  • Audit multiple providers and coders simultaneously
  • Supports auditing needs of both healthcare providers and consulting organizations
  • Enhanced checklists  
  • Advanced workflow management
  • Real-time editing and claim alerts
  • Comprehensive code sets
  • Customizable scoring rules and metrics
  • Ability to customize clinical rules 
  • Line-level reporting 
  • Mid-range pricing 
  • QA oversight
  • Custom lexicon

*Discounts available for multiple claim types. Implementation costs not included.

Multi-account

 

Call for Pricing
 

Audit for multiple clients under one parent account

  • Separate and secure sub-accounts within master account
  • Define sub-account and project-specific instructions
  • Customizable reports
  • Consolidated reports across projects
  • Identify an auditor's level of training by specialty
  • Assignment and workload balancing across master account
  • Record organization and attachments for audit
  • Required data communication workflow (notes, reports results)
  • Standard results reports (Individuals, Divisions, etc.)
  • Include medical records in final report
  • Sub-account logins to obtain or view reports

*Discounts available for multiple claim types.

Add-Ons

 

Call for Pricing
 

Premium Reporting

Advanced analysis and reporting of audit data

  • Built on a highly-rated, user-friendly Business Intelligence tool
  • Supports complex calculations and statistical analysis
  • Data exports for use with other business tools

Claims Connect

Integration to automate the entry of claims data

  • Supports import of historical data
  • Tools support targeted and general audits
  • Built in randomizer

Analytics

Analytics tools for analysis of claims data to identify risks

  • Rich visualizations with customizable dashboard
  • Perform calculations on your uploaded data
  • Context-specific charts, including E&M Distribution and High-Dollar Code Utilization.